• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권1호
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• pp.61-69
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• 2022

Purpose: Studies in adults have shown an increasing incidence of Clostridioides difficile infection (CDI) in patients hospitalized with acute pancreatitis (AP). There is lack of epidemiological data on CDI and its impact on hospitalized pediatric patients with AP. Methods: We analyzed the National Inpatient Sample and Kids' Inpatient Database between the years 2003 and 2016 and included all patients (age <21 years) with a primary diagnosis of AP using specific International Classification of Diseases codes. We compared clinical outcomes between children with CDI and those without CDI. Our primary outcome was severe AP and secondary outcomes included length of stay and hospital charges. Results: A total of 123,240 hospitalizations related to AP were analyzed and CDI was noted in 0.6% of the hospital. The prevalence rate of CDI doubled from 0.4% (2003) to 0.8% (2016), p=0.03. AP patients with CDI had increased comorbidities, and also underwent more invasive surgical procedures, p<0.05. AP patients with CDI had a higher in-hospital mortality rate and increased prevalence of severe AP, p<0.001. Multivariate regression models showed that CDI was associated with 2.4 times (confidence interval [CI]: 1.91 to 3.01, p<0.001) increased odds of severe AP. CDI patients had 7.24 (CI: 6.81 to 7.67, p<0.001) additional hospital days while incurring $59,032 (CI: 54,050 to 64,014, p<0.001) additional hospitalization charges. Conclusion: CDI in pediatric patients with AP is associated with adverse clinical outcomes and increased healthcare resource utilization. Further studies are needed to elucidate this association to prevent the development of CDI and to improve outcomes.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권1호
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• pp.23-33
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• 2023

Purpose: The incidence and prevalence of inflammatory bowel disease (IBD) are increasing along with an increasing number of patients with comorbid conditions like psychiatric and behavioral disorders, which are independent predictors of quality of life. Methods: Non-overlapping years (2003-2016) of National Inpatient Sample and Kids Inpatient Database were analyzed to include all IBD-related hospitalizations of patients less than 21 years of age. Patients were analyzed for a concomitant diagnosis of psychiatric/ behavioral disorders and were compared with IBD patients without psychiatric/behavioral disorder diagnoses for outcome variables: IBD severity, length of stay and inflation-adjusted hospitalization charges. Results: Total of 161,294 IBD-related hospitalizations were analyzed and the overall prevalence rate of any psychiatric and behavioral disorders was 15.7%. Prevalence rate increased from 11.3% (2003) to 20.6% (2016), p<0.001. Depression, substance use, and anxiety were the predominant psychiatric disorders. Regression analysis showed patients with severe IBD (odds ratio [OR], 1.57; confidence interval [CI], 1.47-1.67; p<0.001) and intermediate IBD (OR, 1.14; CI, 1.10-1.28, p<0.001) had increased risk of associated psychiatric and behavioral disorders than patients with a low severity IBD. Multivariate analysis showed that psychiatric and behavioral disorders had 1.17 (CI, 1.07-1.28; p<0.001) mean additional days of hospitalization and incurred additional $8473 (CI, 7,520-9,425; p<0.001) of mean hospitalization charges, independent of IBD severity. Conclusion: Prevalence of psychiatric and behavioral disorders in hospitalized pediatric IBD patients has been significantly increasing over the last two decades, and these disorders were independently associated with prolonged hospital stay, and higher total hospitalization charges.

• 정보보호학회논문지
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• 제33권2호
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• pp.211-222
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• 2023

다변수 이차식 기반 암호알고리즘은 양자컴퓨터에 안전하다고 믿어지는 수학적 난제에 기반을 둔 공개키 암호알고리즘 중의 하나로 현재 사용하고 있는 공개키 암호를 대체할 수 있는 양자내성암호 중의 하나이다. NIST 양자내성암호 공모 3라운드 최종 후보 알고리즘으로 선정되었던 다변수 이차식 기반 전자서명 알고리즘 Rainbow의 다중레이어를 사용하는 구조에 대한 진화된 공격이 대두된 후에 단일 레이어를 이용하는 UOV의 구조에 관심이 집중되고 있다. 본 논문에서는 단일 레이어를 갖는 UOV 구조를 유지하면서 일차식의 특별한 구조, 희소다항식, 랜덤다항식의 다양한 조합을 통해 비밀키의 길이를 대폭 줄이고, 블록 부분 행렬의 역행렬을 이용하여 선형 시스템의 해를 구하는 방법을 적용한 효율적인 다변수 이차식 기반 전자서명 알고리즘을 제안한다. 제안한 전자서명의 안전성 분석을 통해 안전한 파라미터를 설정하고 각 파라미터에서의 키길이와 서명 길이를 비교 분석한다. 제안한 다변수 이차식 기반 전자서명 알고리즘은 서명의 길이가 양자내성 전자서명 중 가장 짧고, 기존 다변수 이차식 기반 전자서명에 비해 비밀키 길이가 최대 97%의 축소 효과를 가진다.

• Journal of Gastric Cancer
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• 제23권2호
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• pp.289-302
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• 2023

Purpose: Liver metastasis (LM) is reported in approximately 40% of patients with advanced/metastatic gastric/gastroesophageal junction adenocarcinoma (metastatic esophagogastric adenocarcinoma; mGEA) and is associated with a worse prognosis. This post-hoc analysis from the RAINBOW trial reported the efficacy, safety, and biomarker outcomes of ramucirumab and paclitaxel combination treatment (RAM+PAC) in patients with (LM+) and without (LM-) LM at baseline. Materials and Methods: Patients (n=665) were randomly assigned on a 1:1 basis to receive either RAM+PAC (LM+: 150, LM-: 180) or placebo and paclitaxel (PL+PAC) (LM+: 138, LM-: 197). The overall survival (OS) and progression-free survival (PFS) were evaluated using stratified Kaplan-Meier and Cox regression models. The correlation of dichotomized biomarkers (VEGF-C, D; VEGFR-1,2) with efficacy in the LM+ versus LM- subgroups was analyzed using the Cox regression model with reported interaction P-values. Results: The presence of LM was associated with earlier progression than those without LM, particularly in patients receiving PL+PAC (hazard ratio [HR], 1.68). RAM+PAC treatment improved OS and PFS irrespective of LM status but showed greater improvement in LM+ than that in LM- (OS HR, 0.71 [LM+] vs. 0.88 [LM-]; PFS HR, 0.47 [LM+] vs. 0.76 [LM-]). Treatment-emergent adverse events were similar between patients with and without LM. No predictive relationship was observed between biomarker levels (VEGF-C, D; VEGFR-1,2) and efficacy outcome (OS, PFS) (all interaction P-values >0.05). Conclusions: RAM provided a significant benefit, irrespective of LM status; however, its effect was numerically stronger in patients with LM. Therefore, RAM+PAC is a clinically meaningful therapeutic option for patients with mGEA and LM.

• 한국축산식품학회지
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• 제43권6호
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• pp.1170-1182
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• 2023

The aim of this study was to determine the effect of chitosan (CH)-based nanocomposite coating applications [chitosan+TiO₂ (CHT) and chitosan+TiO₂+rosmarinic acid (CHTRA)] on changes in quality attributes of rainbow trout fillets during cold storage (4℃). Fish fillets were randomly divided into four groups and subjected to treatments (CH, CHT, CHTRA, and control). After treatments, the groups were packaged under a modified atmosphere (40% CO₂+30% O₂+30% N₂) and stored at 4℃ for 18 days. During cold storage, the samples were subjected to physico-chemical and microbiological analyses. During storage, CH, CHT, and CHTRA treatments showed lower aerobic mesophilic and psychrotrophic bacteria counts than the control. However, the differences between coating treatments were not significant. The highest mean pH value was determined in the control group. As the storage time increased, the thiobarbituric acid reactive substances value increased. At the end of the storage period, no significant differences were observed between the treatments, including in the control group. The total volatile basic nitrogen (TVB-N) level in the control group was above 25 mg/100 g on day 15 of storage. However, the TVB-N level in the treatment groups was below 20 mg/100 g on day 18. It was also determined that coating application×storage period interaction had a significant effect on all color parameters (p<0.01). At the end of storage, the highest CIE L* was observed in CHTRA treatment. However, the value of this treatment did not differ from that of the CH treatment.

• 정보보호학회논문지
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• 제34권1호
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• pp.1-9
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• 2024

다변수 이차식 기반 전자서명 알고리즘은 구현의 용이성과 작은 서명 크기를 장점으로 갖는 양자내성암호 후보군이다. 이러한 다변수 이차식 기반 전자서명의 효율성을 높이기 위해 희소 행렬을 사용한 전자서명 기법들이 제시되었으며, 이 중 HiMQ는 국내 정보통신단체 표준으로 제정되었다. 그러나 HiMQ는 2022년 제안된 MinRank 공격에 의해 깨진 대표적 다변수 이차식 기반 전자서명인 Rainbow와 유사한 키 구조를 갖는다. HiMQ는 국내 정보통신단체 표준으로 제정되면서 권고 파라미터를 제시하였는데, 이는 2020년 기준의 암호 분석에 기반한 파라미터로 최근 공격 기법들이 고려되지 않았다. 이에 본 논문에서는 HiMQ에 적용 가능한 다변수 이차식 기반 전자서명에 대한 공격 기법들을 살펴보고 이에 대한 안전성 분석을 수행하였다. HiMQ에 가장 효과적인 공격은 2022년 제안된 개선된 MinRank 공격인 combined attack이며, 세 개의 권고 파라미터 모두 기준 보안강도를 만족하지 못하였다. 또한 HiMQ-128과 HiMQ-160은 최소 보안강도인 128-bit 비도도 만족하지 못하였다.

• 한국어병학회지
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• 제37권1호
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• pp.147-153
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• 2024

The World Organization for Animal Health (WOAH) recommends two protocols (ITS and COI) for conventional PCR of G. salaris diagnosis. However, ITS PCR protocol may yield false-positive results, leading to unnecessary countermeasures. It's difficult to distinguish between G. salaris and false-positive by similar amplicon size of PCR, since the amplicon size of ITS PCR in G. salaris and false-positive was 1,300 and 1,187 bp, respectively. The nucleotide sequences of ITS false-positive in rainbow trout is 99.7% identical to previously reported host genome sequences of rainbow trout (Oncorhynchus mykiss) and 95.3 to 89.1% identical to those of other salmonid fish species. To reduce false-positive PCR band, PCR was performed by the different annealing temperature, but PCR bands were still detected. In RFLP analysis by HaeIII, the PCR product of G. salaris was digested into four bands of 512, 399, 234 and 154 bp, while the false-positive was digested into seven bands of 297, 263, 242, 144, 93, 80 and 68 bp. In the RFLP patterns digested by HindIII, G. salaris showed two bands of 659 and 640 bp, while false-positive had one fragment of 1,187 bp without any digestion. Therefore, the RFLP method of ITS PCR with HaeIII and HindIII can be used for differentiation between G. salaris and false-positive. These results might provide important information on the improvement of PCR diagnostic method of G. salaris.

• 한국양식학회지
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• 제17권1호
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• pp.69-80
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• 2004

The objective of the present study was to analyze genetic distances, variation and characteristics of individuals in rainbow trout, Oncorhynchus mykis using amplified fragment length polymorphism (AFLP) method as molecular genetic technique, to detect AFLP band patterns as genetic markers, and to compare the efficiency of agarosegel electrophoresis (AGE) and polyacrylamide gel electrophoresis (PAGE), respectively. Using 9 primer combinations, a total of 141 AFLP bands were produced, 108 bands (82.4%) of which were polymorphic in AGE. In PAGE, a total of 288 bands were detected, and 220 bands (76.4%) were polymorphic. The AFLP fingerprints of AGE were different from those of PAGE. Separation of the fragments with low molecular weight and genetic polymorphisms revealed a distinct pattern in the two gel systems. In the present study, the average bandsharing values of the individuals between two populations apart from the geographic sites in Kangwon-do ranged from 0.084 to 0.738 of AGE and PAGE. The bandsharing values between individuals No.9 and No. 10 showed the highest level within population, whereas the bandsharing values between individuals No.5 and No.7 showed the lowest level. As calculated by bandsharing analysis, an average of genetic difference (mean$\pm$SD) of individuals was approximately 0.590$\pm$0.125 in this population. In AGE, the single linkage dendrogram resulted from two primers (M11+H11 and M13+H11), indicating six genetic groupings composed of group 1 (No.9 and 10), group 2 (No. 1, 4, 5, 7, 10, 11, 16 and 17), group 3 (No. 2, 3, 6, 8, 12, 15 and 16), group 4 (No.9, 14 and 17), group 5 (No. 13, 19, 20 and 21) and group 6 (No. 23). In AGE, the genetic distances among individuals of between-population ranged from 0.108 to 0.392. In AGE, the shortest genetic distance (0.108) displaying significant molecular differences was between individuals No.9 and No. 10. Especially, the genetic distance between individuals No. 23 and the remnants among individuals within population was highest (0.392). Additionally, in the cluster analysis using the PAGE data, the single linkage dendrogram resulted from two primers (M12+H13 and M11+H13), indicating seven genetic groupings composed of group 1 (No. 15), group 2 (No. 14), group 3 (No. 11 and 12), group 4 (No.5, 6, 7, 8, 10 and 13), group 5 (No.1, 2, 3 and 4), group 6 (No.9) and group 7 (No. 16). By comparison with the individuals in PAGE, genetic distance between No. 10 and No. 7 showed the shortest value (0.071), also between No. 16 and No. 14 showed the highest value (0.242). As with the PAGE analysis, genetic differences were certainly apparent with 13 of 16 individuals showing greater than 80% AFLP-based similarity to their closest neighbor. The three individuals (No. 14, No. 15 and No. 16) of rainbow trout between two populations apart from the geographic sites in Kangwon-do formed distinct genetic distances as compared with other individuals. These results indicated that AFLP markers of this fish could be used as genetic information such as species identification, genetic relationship or analysis of genome structure, and selection aids for genetic improvement of economically important traits in fish species.

• 한국수산과학회지
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• 제29권3호
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• pp.357-368
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• 1996

FDA에서 인공합성착색제의 사용을 금지함에 따라 천연착색제의 탐색을 위한 연구가 활발히 진행되고 있다. 양식어류의 천연착색제 개발을 목적으로 우렁쉥이 껍질성분을 이용하기 위한 연구를 실시한 결과, 우렁쉥이 껍질 색소추출물이 인공합성 착색제인 carophyll pink보다 뛰어난 성장 및 착색효과를 나타낸다는 것을 밝혔다. 한편 본 연구에서는 우렁쉥이 껍질은 동물이 소화하기 힘든 튜니신으로 구성되어 있기 때문에 색소 뿐만 아니라 우렁쉥이 껍질 전체를 직접사료에 첨가하여 이용할 수 있는 방법을 찾고자 껍질분말을 고열가압 한 시료에 다당류 분해효소를 첨가하여 분해시킨 후 이들 분해산물을 무지개송어에 급이하여 체색개선 및 성장을 검토한 결과는 다음과 같다. 1. 무지개송어 사육결과 일일성장률은 색소첨가구가 가장 높아 $1.510\%$였으며, 대조구와 pink구는 비슷하였으며, 껍질분말구는 대조구를 포함한 다른실험구에 비하여 성장이 둔화된 것으로 나타나 마쇄된 분말을 그대로 사료에 혼합하는 것은 곤란한 것으로 나타났다. 2. 효소처리구는 대조구 및 pink구와 성장이 비슷하였고, 분말처리구보다는 성장이 뛰어났으므로 우렁쉥이 껍질의 효소처리는 사료원으로서의 가치를 가지고 있다. 3. 효소처리구의 육색의 색소함량은 8주까지는 색소추출물구와 pink구에 비해서 낮았으나, 12주째부터는 거의 동일한 수준으로 되었다. 4. 육 및 간의 총지질함량을 살펴보면 사육개시시 0.47g/100g 및 0.84/100g 이었으나, 12주후에는 pink 구가 8.00g/100g 및 6.89g/100g 이었고, 추출물구는 7.46g/100g 및 6.26g/100g으로서, 육색의 착색정도와 지질의 함량사이에는 상관관계가 있었다. 극성지질의 함량은 전 사육 기간을 통하여 육 지질의 경우 $20\~26\%$ 전후였으나, 간 지질의 경우 $30\~37%$를 차지하였다. 5. 육의 착색에 특정 지방산이 관여하거나, 육의 색소함량과 지방산 사이에는 상관관계가 없는 것으로 나타났다.

• 한국어류학회지
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• 제20권4호
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• pp.239-247
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• 2008

무지개송어(체장 $17.1{\pm}1.0cm$, 체중 $68.4{\pm}2.0g$)의 수온변화에 따른 생리적 반응의 단기적 지표로서 산소소비율, 호흡수, 헤모글로빈 함량 변화 및 내성 상한 온도를 조사하였다. 실험 수온은 $15^{\circ}C$를 중심으로 낮은 온도 쪽으로는 4, 5, 6, 7 및 $10^{\circ}C$, 높은 온도 쪽으로는 17, 20, 23, 26 및 $28^{\circ}C$에서 각각 적응시켜 산소소비량과 호흡수를 측정하였다. 수온의 하강과 상승은 $15^{\circ}C$에서 사육하던 무지개 송어를 1일 $1^{\circ}C$씩 순차 적응시키면서 각 수온에 7일간 적응시켰다. 무지개송어는 수온이 $23^{\circ}C$ 이상이 되면 산소소비율, 호흡수 및 헤모글로빈 함량에 변화를 가져오면서 체내 항상성이 급격하게 낮아지는 것으로 나타났다. 또한 생존 상한수온은 $28^{\circ}C$로 나타났다. 무지개송어가 무리없이 생활할 수있는 온도 범위는 $10{\sim}20^{\circ}C$로서 $10{\sim}15^{\circ}C$의 낮은 온도에서는 낮은 온도쪽으로, $15{\sim}20^{\circ}C$의 높은 온도에서는 높은 온도쪽으로 $5^{\circ}C$ 이상 급격한 변화를 주지 않는 것이 무지개송어의 생리활력에 현저한 변화가 나타나지 않는 것으로 조사되었다.